- Evolent (Harrisburg, PA)
- …current exclusion or sanction by any state or federal health care program, including Medicare or Medicaid, and is not identified as an "excluded person" by the ... Human Services or the General Service Administration (GSA), or reprimanded or sanctioned by Medicare . + No history of a major disciplinary or legal action by a state… more
- Humana (Harrisburg, PA)
- …Coder + Demonstrate ability to problem-solve complex coding issues + Experience with Medicare and Medicaid coding guidelines + Strong data entry and attention to ... efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. … more
- AmeriHealth Caritas (West Chester, PA)
- …preferred. + Knowledge/experience with government market lines of business (Medicaid, Medicare ) is preferred. ;Some knowledge/ experience with Medicaid/ Medicare ... LTSS (Long Term Services & Support) government product is a plus. + Independent & strong analytical & problem-solving skills with a proactive approach to challenges.; + A collaborative mindset, with open communication style and the ability to foster teamwork… more
- CVS Health (Harrisburg, PA)
- …of clinical practice experience. Two (2) + years of experience in managed care ( Medicare and/or Medicaid) MD or DO; Board certification in an ABMS or AOA recognized ... state where we have an Integrated plan. Experience with managed care ( Medicare and Medicaid) utilization review preferred. **Education** MD (Doctor of Medicine) or… more
- Penn Medicine (Lancaster, PA)
- …30 days of hire. + A health care provider in good standing with Medicare , Medicaid, and other federal and state health insurance programs, ie not excluded from ... participation in Medicare , Medicaid or any other federal or state health insurance program. + As outline in unit based Plan for Provision of Care. We believe that… more
- Redeemer Health Home Care & Hospice (Meadowbrook, PA)
- …ICD-10 and CPT-4 guidelines, UHDDS sequencing guidelines, CMS coding guidelines, Medicare and Medicaid regulations and the American Hospital Association coding ... required. . Works claim edits identified along with compliance of the Medicare Coverage Determinations ( MCD ) , National Coverage Determination ( NCD… more
- Penn Medicine (Lancaster, PA)
- …practice experience preferred. + A health care provider in good standing with Medicare , Medicaid, and other federal and state health insurance programs, ie not ... excluded from participation in Medicare , Medicaid or any other federal or state health insurance program. We believe that the best care for our patients starts with… more
- Penn Medicine (Lancaster, PA)
- …30 days of hire. + A health care provider in good standing with Medicare , Medicaid, and other federal and state health insurance programs, ie not excluded from ... participation in Medicare , Medicaid or any other federal or state health insurance program. + As outline in unit based Plan for Provision of Care. + Attention… more
- Prime Therapeutics (Harrisburg, PA)
- …on the lookout for a Principal Solution Strategist to help lead the Medicare and Medicaid migrations for the JUDI program.** **Job Description** The Principal ... collaborative or independent problem solving **Preferred Qualifications** + PBM/health experience + Medicare , Medicaid, CMS background + Desire to be a SME + Work… more
- Gentiva (Bala Cynwyd, PA)
- …company's information system. + Ensure compliance with all federal, state, and Medicare regulations, as well as company policies and procedures. + Support ... communication, and customer service skills. + Knowledge of hospice services, Medicare guidelines, and community resources beneficial. **What You'll Bring** + A… more